Organization
K. VICTORIA MODICA, N.D., PLLC
Active
Organization
K. VICTORIA MODICA, N.D., PLLC
Active
Parent organization
K. VICTORIA MODICA, N.D., PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
K. VICTORIA MODICA, N.D., PLLC
Authorized official
KATHERINE V. MODICA N.D. (OWNER)
(877) 513-8012
Entity
Organization
Contact information
Practice address
3716 PACIFIC AVE, SUITE H, TACOMA, WA 98418-7836
(877) 513-8012
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 943-4180
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
NT60336456
WA
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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